NPI | 1811232549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 23637) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 31804) |
Enumeration Date | 2012-12-06 |
Last Update Date | 2012-12-06 |