| NPI | 1861952194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA004592) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 7501) |
| 225200000X Physical Therapy Assistant (Licence: AL PTA10177) | |
| 225200000X Physical Therapy Assistant (Licence: KS 14-03493) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2021-05-03 |