NPI | 1851758817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: LA A9100) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: LA ATH.200249) |
Enumeration Date | 2016-01-21 |
Last Update Date | 2016-01-21 |