NPI | 1245527225 |
---|---|
Former Name | JENNIFER LYNN ROCKAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291796) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021316) |
Enumeration Date | 2011-06-29 |
Last Update Date | 2017-04-01 |