| NPI | 1780709774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA 18514) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306602044) |
| 225200000X Physical Therapy Assistant (Licence: MA 8067) | |
| 225200000X Physical Therapy Assistant (Licence: OH 05869) | |
| 225200000X Physical Therapy Assistant (Licence: MD A2919) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-03-23 |