| NPI | 1407294226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA20625) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 0011838) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |