| NPI | 1780149211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA29086) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AL PTA8209) |
| 225200000X Physical Therapy Assistant (Licence: OK 2944) | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |