| NPI | 1740886597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH PTA012637) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.020481) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2026-02-10 |