| NPI | 1598144990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 2376) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ME PA2545) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |