| NPI | 1700083987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 004400) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV CP010267A) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2025-07-29 |