| NPI | 1841502846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 06579) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2018-03-17 |