| NPI | 1831549641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 12132A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160-006828) |
| 225200000X Physical Therapy Assistant (Licence: WI 2247-19) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |