| NPI | 1497155972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 8034) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VT 041.0000534) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |