| NPI | 1801264684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 10077) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2115045) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |