| NPI | 1083926513 |
|---|---|
| Former Name | AUDREY ELIZABETH JENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009955) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 052186) |
| 225100000X Physical Therapist (Licence: PA PT032191) | |
| 225100000X Physical Therapist (Licence: CA 306259) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2024-07-30 |