NPI | 1386989598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2109841) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI003138) |
Enumeration Date | 2012-11-29 |
Last Update Date | 2020-03-07 |