| NPI | 1669714580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA 19932) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE005303L) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |