| NPI | 1649728833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA21040) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PTA21040) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2020-12-16 |