| NPI | 1780059550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VT 041.0095968) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 9154) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |