| NPI | 1184651663 |
|---|---|
| Former Name | JENNIFER L BERENDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 1262) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 1262) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-10-06 |