| NPI | 1215592647 |
|---|---|
| Former Name | JORDAN LEIGH TRIMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT7771) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-12-09 |