| NPI | 1730763293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PTA29895) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA29895) | |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |