| NPI | 1649236944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 07725) |
| Additional Taxonomies | 2083S0010X Preventive Medicine, Sports Medicine (Licence: OH AT001333) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-03-26 |