| NPI | 1063869048 |
|---|---|
| Former Name | JENNA M WEXTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 082725) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2018-04-03 |