| NPI | 1780717405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK 1513) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 1388) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |