| NPI | 1376963322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ME PA4581) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 9405) |
| 225200000X Physical Therapy Assistant (Licence: CT 1230) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2022-02-25 |