NPI | 1083752836 |
---|---|
Former Name | JENNIFER ANGELA BRESCIANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 9758) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1399) |
225100000X Physical Therapist (Licence: MN 7854) | |
225100000X Physical Therapist (Licence: OR 5781) | |
225100000X Physical Therapist (Licence: WA PT 60124585) | |
225100000X Physical Therapist (Licence: TX 1210320) | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2012-10-05 |