| NPI | 1962678722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A5330) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 3493) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2021-06-23 |