NPI | 1740603794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A4021) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306603311) |
Enumeration Date | 2014-01-28 |
Last Update Date | 2014-01-28 |