| NPI | 1699154856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA002083) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306604104) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA21227) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |