| NPI | 1720274848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ME PA998) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA.00692) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |