| NPI | 1851042261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA005066) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2154404) |
| 225200000X Physical Therapy Assistant (Licence: VA 2306605979) | |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2023-06-08 |