| NPI | 1750448155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 003593-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE001580L) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |