| NPI | 1386251593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DE J2-0001380) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047428-01) |
| 225200000X Physical Therapy Assistant (Licence: NY 011136-01) | |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2021-09-07 |