| NPI | 1639462559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306602966) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA.07679) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2012-02-14 |