| NPI | 1164022158 |
|---|---|
| Former Name | JENNIFER SLOOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |