NPI | 1467883660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA 23957) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA PTA 8207) |
225200000X Physical Therapy Assistant (Licence: OR PTA 8276) | |
Enumeration Date | 2013-12-13 |
Last Update Date | 2013-12-13 |