| NPI | 1902241599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AL PTA6529) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2092007) |
| 225200000X Physical Therapy Assistant (Licence: TN 5475) | |
| 225200000X Physical Therapy Assistant (Licence: AL PTA 6529) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-07-03 |