| NPI | 1942321492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CT 000479) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 796) |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |