| NPI | 1750656823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 007836) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN A1541) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |