| NPI | 1508134594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502001582) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT 6677) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |