NPI | 1033220769 |
---|---|
Former Name | JESSICA M RANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01280900) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007915) |
225100000X Physical Therapist (Licence: PA PT019232) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2022-07-23 |