| NPI | 1598317729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.022069) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA012304) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-12-23 |