NPI | 1134220007 |
---|---|
Former Name | JENNIFER L MANCHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 1375) |
Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: NM 1375) |
2251S0007X Physical Therapist, Sports (Licence: NM 1375) | |
2251X0800X Physical Therapist, Orthopedic (Licence: NM 1375) | |
Enumeration Date | 2006-09-25 |
Last Update Date | 2008-07-17 |