| NPI | 1255567434 |
|---|---|
| Former Name | JENNIFER LYN ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3863) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4499) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2020-07-09 |