| NPI | 1649582784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR PTA2194) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: LA PTA6575) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |