| NPI | 1003413550 |
|---|---|
| Former Name | JENNA LE ROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-5819) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63839) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2026-02-25 |