NPI | 1164640777 |
---|---|
Former Name | JENNIFER HELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT32979) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT32979) |
Enumeration Date | 2007-04-22 |
Last Update Date | 2019-12-13 |