| NPI | 1619704665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA14639) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA33048) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |