| NPI | 1669419685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE005683L) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: DE J2-0000483) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-08 |