| NPI | 1801959762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: RI PTA00286) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 4119) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |