| 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 |