| NPI | 1194754812 |
|---|---|
| Former Name | JODI GOLDFAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MO 118373) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070-011569) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |