| NPI | 1447566237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ME PA2807) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NH 0478) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |