| NPI | 1619272812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MN A1346) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OK 1977) |
| 225200000X Physical Therapy Assistant (Licence: IA 001503) | |
| 225200000X Physical Therapy Assistant (Licence: NE 941) | |
| 225200000X Physical Therapy Assistant (Licence: WI 1718-019) | |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |