| NPI | 1659703130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 10379) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 2450) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |