NPI | 1821401175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P1 60430818) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-02267) |
Enumeration Date | 2014-06-04 |
Last Update Date | 2014-06-04 |