| NPI | 1235442799 |
|---|---|
| Former Name | JENNIFER MARIE NORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61759) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60163484) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2018-09-18 |