| NPI | 1194746370 |
|---|---|
| Former Name | JACQUELINE N ATHAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14270) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1167870) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2021-02-18 |