| 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 |