NPI | 1932590767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 3495) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: RI PTA0051) |
225200000X Physical Therapy Assistant (Licence: OR 08313) | |
Enumeration Date | 2015-02-16 |
Last Update Date | 2015-02-16 |