| NPI | 1013263342 |
|---|---|
| Former Name | JENNIFER LAUREN GOLZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070012167) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070012167) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |