| NPI | 1497297600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM PTA1491) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA011188) |
| 225200000X Physical Therapy Assistant (Licence: TX 2129133) | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-04-29 |