| NPI | 1982729315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2006002769) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160-002205) |
| 225200000X Physical Therapy Assistant (Licence: AZ 6363A) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |