NPI | 1083127385 |
---|---|
Other Name | RACHEL COLLEEN JESPERSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12267) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26667) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2025-01-13 |