| NPI | 1447620125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A5062) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NH 0938) |
| 225200000X Physical Therapy Assistant (Licence: TX 2108330) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |