| NPI | 1588445688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 33065) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2022027290) |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |