| NPI | 1437413077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A2476) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA04900) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2019-01-15 |