| NPI | 1619478682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AK 130311) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA011672) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |