| NPI | 1831928894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00388400) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC PTA.6711) |
| 225200000X Physical Therapy Assistant (Licence: NY 013237) | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |