| NPI | 1124435144 |
|---|---|
| Former Name | JENNA R LONCAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.020955) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2023-11-22 |