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 |