| NPI | 1104225515 |
|---|---|
| Former Name | JENNIFER BERLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1353422) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10070) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2024-08-19 |