| NPI | 1679932537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2117797) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE010509) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |