| NPI | 1669019311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 50372) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA012210) |
| 225200000X Physical Therapy Assistant (Licence: AZ PTA-014033) | |
| 225200000X Physical Therapy Assistant (Licence: SD 0580) | |
| 225200000X Physical Therapy Assistant (Licence: WA PTA.P1.60994180) | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |