NPI | 1467901637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA26678) |
Additional Taxonomies | 226000000X Recreational Therapist Assistant (Licence: TX 2113325) |
Enumeration Date | 2016-09-28 |
Last Update Date | 2016-09-28 |