| NPI | 1659923506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AL PTA6413) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AK 111126) |
| 225200000X Physical Therapy Assistant (Licence: TN 3367) | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |