| NPI | 1669806782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA003150) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA003150) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2022-01-24 |