| NPI | 1710213616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160044962) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 8532) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |