| NPI | 1912338682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA003193) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 24485) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |