| NPI | 1396813606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA 20514) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA 002237) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |