| NPI | 1881771319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV PTA00096) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY PTA A00989) |
| 225200000X Physical Therapy Assistant (Licence: OH PTA 01294) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-12-31 |