| NPI | 1730576836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 1184) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 39606) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |