| NPI | 1750685160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2013008007) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306602991) |
| 225200000X Physical Therapy Assistant (Licence: UT 7777235-2402) | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2014-11-18 |