| NPI | 1518176171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 26324) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 3563) |
| 225200000X Physical Therapy Assistant (Licence: NY 006406) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2015-11-30 |