| NPI | 1851100333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM PT-2024-0346) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO PTA15426) |
| 225200000X Physical Therapy Assistant (Licence: NE 2007) | |
| 225200000X Physical Therapy Assistant (Licence: WA PTA.P1.61539112) | |
| 225200000X Physical Therapy Assistant (Licence: WY PTA-1051) | |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-31 |