| NPI | 1548949266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2176005) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AL 11194) |
| 225200000X Physical Therapy Assistant (Licence: GA 005033) | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |