NPI | 1679025985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT24687) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA27134) |
Enumeration Date | 2016-11-03 |
Last Update Date | 2023-10-16 |