| NPI | 1437446259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 2339) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 8495) |
| 225200000X Physical Therapy Assistant (Licence: NH 0481) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |