| NPI | 1831406511 |
|---|---|
| Former Name | SHELLEY L COUTURE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL pta32502) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI002421) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2023-02-14 |