| NPI | 1659593309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-01154) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 8364) |
| 225200000X Physical Therapy Assistant (Licence: IL 160-004025) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |