| NPI | 1083764864 |
|---|---|
| Former Name | JENNIFER O'LEAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026033-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 3501009591) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |