NPI | 1215164595 |
---|---|
Former Name | JENNIFER ANN ASTBURY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11777) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1062545) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2024-05-23 |