| NPI | 1710435706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA19730) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 2251E1200X Physical Therapist, Ergonomics (Licence: FL PTA1970) | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2023-03-11 |