NPI | 1508295221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DE J2-0000338) |
Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: DE J2-0000338) |
Enumeration Date | 2013-11-04 |
Last Update Date | 2015-11-03 |