| NPI | 1487014940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ID 4402) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ND 1078) |
| 225200000X Physical Therapy Assistant (Licence: OK 2561) | |
| 225200000X Physical Therapy Assistant (Licence: TX 2088830) | |
| 225200000X Physical Therapy Assistant (Licence: VA 2306602700) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |