| NPI | 1093938896 |
|---|---|
| Former Name | JEANNE MARIE CLENDENIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11119) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20332) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-05-19 |