| NPI | 1730327313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 0014089) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA. 07079) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2017-06-08 |