| NPI | 1508290842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 21272) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 10068) |
| 225200000X Physical Therapy Assistant (Licence: OR 8912) | |
| 225200000X Physical Therapy Assistant (Licence: MA 8628) | |
| 225200000X Physical Therapy Assistant (Licence: TX 2092270) | |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |