| NPI | 1659588176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2056595) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL pta 20373) |
| 225200000X Physical Therapy Assistant (Licence: OH pta 05746) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2025-09-11 |