NPI | 1467812230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN PTA0000006184) |
Additional Taxonomies | 171W00000X Contractor (Licence: KY A03424) |
225200000X Physical Therapy Assistant (Licence: KY PTA-A03424) | |
Enumeration Date | 2016-03-07 |
Last Update Date | 2020-12-01 |