NPI | 1194936781 |
---|---|
Former Name | JENNIFER ELIZABETH EMSWILER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012210) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8330) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2007-07-08 |