| NPI | 1588075113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P1 60328305) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO PTA.0012515) |
| 225200000X Physical Therapy Assistant (Licence: CA 10917) | |
| 225200000X Physical Therapy Assistant (Licence: NV A-0798) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2016-03-09 |