| NPI | 1720217185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CT 1023) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 8309) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |