| NPI | 1821565938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 060095760A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P160883463) |
| 225200000X Physical Therapy Assistant (Licence: OK 09669) | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |