| NPI | 1770053951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MT PTP-PTA-LIC-15182) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA CP033316A) |
| 225200000X Physical Therapy Assistant (Licence: OR 9694) | |
| 225200000X Physical Therapy Assistant (Licence: CA 53759) | |
| 225200000X Physical Therapy Assistant (Licence: TX 2143995) | |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2025-02-19 |