| NPI | 1518388693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR 2148) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OK 1882) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |