| NPI | 1033415807 |
|---|---|
| Former Name | JENNIFER ANN COUTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA25476) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502002091) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2021-05-18 |