| NPI | 1730403171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 8347) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 06973) |
| Enumeration Date | 2010-03-14 |
| Last Update Date | 2010-03-14 |