| NPI | 1881137602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA.0013954) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA.0371) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |