| NPI | 1053535179 |
|---|---|
| Other Name | JAMIE NATALIE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.089187) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME113415) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-01-19 |