| NPI | 1477835361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI002798) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE007434) |
| 225200000X Physical Therapy Assistant (Licence: TX 2085240) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |