| NPI | 1689842684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06002897A) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36000914A) |
| 225200000X Physical Therapy Assistant (Licence: KY A02339) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2009-03-16 |