NPI | 1649552241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 22900) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA002232) |
Enumeration Date | 2011-09-09 |
Last Update Date | 2021-12-03 |