| NPI | 1720185424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 3949) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306602223) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-08 |