| NPI | 1578716825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2005027557) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE008086) |
| 225200000X Physical Therapy Assistant (Licence: FL 20800) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |