| NPI | 1922028521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 010774-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 012784-1) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2017-01-09 |