| NPI | 1225229230 |
|---|---|
| Former Name | JENNIFER LYNN SIMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 8975) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 01019) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-09-07 |