| NPI | 1144395955 |
|---|---|
| Former Name | JEANNIE MARIE VANDER LINDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 01809) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17052) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2011-10-21 |