| NPI | 1255584330 |
|---|---|
| Former Name | JENNIFER RENEE MANETTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P12753) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205704) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2012-11-05 |