NPI | 1215389929 |
---|---|
Former Name | JESSICA N FRANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0018095) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1297848) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2022-02-08 |