NPI | 1437903853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 4152-19) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 111443) |
225200000X Physical Therapy Assistant (Licence: IL 160.0009312) | |
Enumeration Date | 2024-04-12 |
Last Update Date | 2024-04-12 |