| NPI | 1649507419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CT 001082) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 06979) |
| Enumeration Date | 2009-11-15 |
| Last Update Date | 2011-01-18 |