| NPI | 1811287071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 007132-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE008930) |
| 225200000X Physical Therapy Assistant (Licence: ME PA3713) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |