NPI | 1417162777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 2055) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE007738) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2007-07-08 |