| NPI | 1750406104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA-858) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA-21469) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |