| NPI | 1205369063 |
|---|---|
| Former Name | JESSICA RUBY OSBORNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29158) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8560) |
| 225100000X Physical Therapist (Licence: NC 16506) | |
| 225100000X Physical Therapist (Licence: HI 4829) | |
| 225100000X Physical Therapist (Licence: TX 1284626) | |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2022-12-14 |