| NPI | 1881064483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 09015) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P1 60433306) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |