| NPI | 1528673118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH PTA014047) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2025-08-26 |