| 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 |