NPI | 1033518204 |
---|---|
Former Name | JENNIFER A KURZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5428) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023835) |
Enumeration Date | 2014-08-13 |
Last Update Date | 2020-02-25 |