| NPI | 1215284534 |
|---|---|
| Former Name | JESSICA HELEN BERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.019260) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-019260) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2013-03-13 |