| NPI | 1659753457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 10067) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 08740) |
| 225200000X Physical Therapy Assistant (Licence: TX 2092413) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |