| NPI | 1861616609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502002579) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 7563A) |
| 225200000X Physical Therapy Assistant (Licence: IN 06003223A) | |
| 225200000X Physical Therapy Assistant (Licence: CA 8399) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-07-22 |