NPI | 1881228724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK 3146) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OK 585715) |
Enumeration Date | 2020-03-01 |
Last Update Date | 2022-03-07 |