NPI | 1043307366 |
---|---|
Former Name | JENNIFER DEE HORINEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-9820) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NV NV2075) |
225100000X Physical Therapist (Licence: WA PT 60285144) | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2019-08-01 |