| NPI | 1780570697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA31355) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A8583) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |