| NPI | 1427441310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 2027662) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2021-10-11 |