| NPI | 1700640133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC PTA5084) |
| 225200000X Physical Therapy Assistant (Licence: NC A2810) | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |