| NPI | 1902008949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 7263) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT 4268) |
| 225700000X Massage Therapist (Licence: OR 7054) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |