| NPI | 1790806982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 05420) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160004420) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |