| NPI | 1548481252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI000088) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE005985) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-12-19 |