| NPI | 1760928055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502004992) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 2555) |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2024-05-27 |