| NPI | 1962879361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 009164-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306604256) |
| 225200000X Physical Therapy Assistant (Licence: PA TE010730) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |