| NPI | 1417663709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2174117) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AL 7727) |
| 225200000X Physical Therapy Assistant (Licence: AL PTA7727) | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |