| NPI | 1922714880 |
|---|---|
| Former Name | SYDNEY BUCKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA CP030010A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM PTA22024) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-03-15 |