| NPI | 1811223159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.007992) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA 01617) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |