| NPI | 1669086369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 010921) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 010921) |
| 225700000X Massage Therapist (Licence: NY 024900) | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-04-25 |