| NPI | 1093005829 |
|---|---|
| Former Name | JILL JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 037550) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005764) |
| 225100000X Physical Therapist (Licence: TX 1204267) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2019-02-14 |