| NPI | 1497094668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA100928) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA.07819) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA27188) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2023-04-17 |