NPI | 1093290074 |
---|---|
Former Name | JESSICA B. FREEDMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01823900) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT005066) |
225100000X Physical Therapist (Licence: PA PT027109) | |
Enumeration Date | 2018-09-26 |
Last Update Date | 2023-05-11 |