| NPI | 1649509191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P1 60039305) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 8375) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2012-11-27 |