| NPI | 1962528364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 3535) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2005037324) |
| 225200000X Physical Therapy Assistant (Licence: NY 006135) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |