| NPI | 1487051074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: LA A7924) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 24928) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |