| NPI | 1689978744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AK 2233) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 910) |
| 225200000X Physical Therapy Assistant (Licence: OR 8759) | |
| 225200000X Physical Therapy Assistant (Licence: WY 0687) | |
| 225200000X Physical Therapy Assistant (Licence: TX 2085990) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2012-01-06 |