| NPI | 1588485213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA005284) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV CP037188A) |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-11-25 |