NPI | 1083004873 |
---|---|
Former Name | ASHLEIGH JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-6573) |
Additional Taxonomies | 225100000X Physical Therapist |
2251P0200X Physical Therapist, Pediatrics (Licence: TX 1191421) | |
Enumeration Date | 2015-01-31 |
Last Update Date | 2019-12-26 |