| NPI | 1841677283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 09150) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MS 5190) |
| 225200000X Physical Therapy Assistant (Licence: TN 5258) | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |