| NPI | 1396278735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA25525) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 2552 - 19) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |