| NPI | 1417152109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 04155) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 5240) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2015-09-28 |