| NPI | 1013344480 |
|---|---|
| Former Name | JANA SHEWMAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2013028484) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04983) |
| 225100000X Physical Therapist (Licence: WI 12547-24) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2024-01-23 |