NPI | 1912345323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 08358) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH 002761) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2013-06-07 |