| NPI | 1700259751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TTEI001416) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4374) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |