| NPI | 1679719348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA002436) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT 006802) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA16364) | |
| 225700000X Massage Therapist (Licence: FL MA 53221) | |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2010-12-02 |