| NPI | 1689019903 |
|---|---|
| Former Name | EMILY JO PERRAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 1989-19) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A1421) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |