| NPI | 1255617486 |
|---|---|
| Former Name | JENNIFER MOHNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14651) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026046) |
| 225100000X Physical Therapist (Licence: MA 19758) | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2024-09-20 |