| NPI | 1821282237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 04314) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE006719) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2019-01-30 |