NPI | 1245738608 |
---|---|
Former Name | JOCELYN TITUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211489) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01759400) |
Enumeration Date | 2018-01-31 |
Last Update Date | 2023-04-07 |