| NPI | 1841506490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH PTA07706) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA 7706) |
| 225200000X Physical Therapy Assistant (Licence: MI 5502003204) | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2013-05-15 |