| NPI | 1114239779 |
|---|---|
| Former Name | JILLIAN KATE SALAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013371) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 15271) |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2018-08-20 |