| NPI | 1427170992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306605041) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA20313) |
| 225200000X Physical Therapy Assistant (Licence: PA TE001208L) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-12-28 |