| NPI | 1811667272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06005321a) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2160548) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |