| NPI | 1588806491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI002379) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE008074) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2020-01-07 |