| NPI | 1497996581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 2028) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA002324) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |