| NPI | 1043634918 |
|---|---|
| Former Name | JENNIFER LYNNE ELBAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02314000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023303) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2025-02-04 |