| NPI | 1992045736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2137231) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 2137231) |
| 225200000X Physical Therapy Assistant (Licence: SC 2643) | |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2020-10-28 |