| NPI | 1205235181 |
|---|---|
| Former Name | JAMIE MCROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 11902) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037669) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2019-01-28 |