| NPI | 1982179693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA004233) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AL PTA8191) |
| 225200000X Physical Therapy Assistant (Licence: TX 2129376) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2024-03-26 |