| NPI | 1144997214 |
|---|---|
| Former Name | JENNIFER WENGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214941) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 299694) |
| 225100000X Physical Therapist (Licence: MO 2025041305) | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2025-09-23 |