NPI | 1952683542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MT 1096) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 568) |
Enumeration Date | 2011-09-09 |
Last Update Date | 2011-09-09 |