| NPI | 1679130389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 9634) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE011682) |
| 225200000X Physical Therapy Assistant (Licence: OR 09713) | |
| 225200000X Physical Therapy Assistant (Licence: SD 0563) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-06-11 |