| NPI | 1598886988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 0000003273) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 0000005568) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |