| NPI | 1083872774 |
|---|---|
| Former Name | JESSICA L COLYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 48980) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35-094893) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2020-01-09 |