| NPI | 1548668924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 5678) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2107250) |
| 225200000X Physical Therapy Assistant (Licence: VA 2306603969) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |