| NPI | 1558128777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD CP033462A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: DC PTA2000024) |
| 225200000X Physical Therapy Assistant (Licence: NC A7304) | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-08-19 |