| NPI | 1669834230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 6139) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A02535) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |