| NPI | 1477731347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00304300) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 2873) |
| 225200000X Physical Therapy Assistant (Licence: CT 000815) | |
| 225200000X Physical Therapy Assistant (Licence: PA TE009711) | |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2014-05-14 |