| NPI | 1750671145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06002501A) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IN MT20900843) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2012-04-17 |