| NPI | 1518305564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH PTA.09952) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE1000336) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2016-05-23 |