NPI | 1225121031 |
---|---|
Former Name | JESSICA ANN CADMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012429) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 10130) |
225100000X Physical Therapist (Licence: SC 5722) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2021-08-11 |