| NPI | 1881039196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TEI003785) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE000626L) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2021-09-07 |