| NPI | 1699563544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306606458) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 10330) |
| 225200000X Physical Therapy Assistant (Licence: NY 013780) | |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |