| NPI | 1184314023 |
|---|---|
| Former Name | JENNIFER DORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-033881) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1376457) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2025-11-24 |