| NPI | 1932366622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA29296) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ME PA1720) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2019-09-12 |