| NPI | 1215187059 |
|---|---|
| Former Name | JENNIFER DONOVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022955-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 006976) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2012-07-13 |