| NPI | 1063020881 |
|---|---|
| Former Name | JESSICA MANKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028879) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.025241) |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2023-11-10 |