| NPI | 1811439631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA27148) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 1760) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |