| NPI | 1104092063 |
|---|---|
| Former Name | JENIFER ALAVI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT012732L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA PT012732L) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2024-10-28 |