| NPI | 1063512168 |
|---|---|
| Former Name | JESSICA LEIGH MILLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10752) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 10752) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-08-02 |