| NPI | 1487868691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA 60227106) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 1401716) |
| 225200000X Physical Therapy Assistant (Licence: NE 367) | |
| 225200000X Physical Therapy Assistant (Licence: ID 2906) | |
| 225200000X Physical Therapy Assistant (Licence: IA 001176) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2022-01-03 |