| NPI | 1396097481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH PTA.07896) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06002644A) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |