| NPI | 1801149109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK 1973) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 2447) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2020-06-04 |