| NPI | 1811563505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2158678) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 006610) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |