| NPI | 1821683038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA004521) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 2156) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-19 |