| NPI | 1073824694 |
|---|---|
| Former Name | JAMIE NICOLE SHARP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1197601) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10123) |
| 225100000X Physical Therapist (Licence: HI 3474) | |
| 225100000X Physical Therapist (Licence: OH 013584) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2019-10-23 |