| NPI | 1821666389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH PTA012171) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 2181) |
| 225200000X Physical Therapy Assistant (Licence: IN 06006385A) | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-10-08 |