| NPI | 1851985493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK 1576) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OK OA62) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |