NPI | 1225048093 |
---|---|
Former Name | JERRI L QUESENBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT20495) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT20495) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-02-06 |