NPI | 1043441017 |
---|---|
Former Name | JESSICA LYNN SHANAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 16832) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT9710) |
Enumeration Date | 2009-08-07 |
Last Update Date | 2020-04-07 |