| NPI | 1689805244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ME PA5280) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 08701) |
| 225200000X Physical Therapy Assistant (Licence: TX 2099717) | |
| 225200000X Physical Therapy Assistant (Licence: NH 0964) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2023-10-05 |