| NPI | 1982952594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2092199) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: RI pta00754) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |