| NPI | 1659588176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA 20373) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA 05746) |
| 225200000X Physical Therapy Assistant (Licence: TX 2056595) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |