| NPI | 1750663183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-01882) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT9453) |
| 225200000X Physical Therapy Assistant (Licence: TX 2080843) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |