| NPI | 1639358419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 01033) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160-004424) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |