| NPI | 1700161288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.007334) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.010334) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2022-07-21 |