| NPI | 1174972475 |
|---|---|
| Former Name | SHELBY BROOK JUREK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5536) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1275676) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-10-14 |