| NPI | 1588859128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A3148) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 6570) |
| 225200000X Physical Therapy Assistant (Licence: NY 006587-1) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |