NPI | 1013937002 |
---|---|
Former Name | JENNIFER K STOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-1782) |
Additional Taxonomies | 2251H1200X Physical Therapist, Hand |
Enumeration Date | 2006-07-20 |
Last Update Date | 2019-05-15 |