| NPI | 1609577352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 1456) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 9324) |
| 225200000X Physical Therapy Assistant (Licence: VT 041.0133958) | |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |