| NPI | 1407252927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 3203) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A4863) |
| 225200000X Physical Therapy Assistant (Licence: AZ 10806A) | |
| 225200000X Physical Therapy Assistant (Licence: CA 9970) | |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |