| NPI | 1477927721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA26696) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO Pta.0013519) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2016-08-15 |