| NPI | 1396036265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH PTA.09744) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI002672) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2015-03-02 |