| NPI | 1639422629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA002633) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: RI PTA620) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |