NPI | 1972726065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV PTA 001284) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA002602) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2021-12-02 |