| NPI | 1467985218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 3025) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: RI PTA00858) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA 25468) | |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2017-04-08 |