| NPI | 1962622928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE000399L) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00083100) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |