| NPI | 1437516796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY A03151) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA.09313) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |