| NPI | 1639350549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ME PA2301) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN PTA 0000003888) |
| 225200000X Physical Therapy Assistant (Licence: AZ 7530A) | |
| 225200000X Physical Therapy Assistant (Licence: TX 2060102) | |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |