| NPI | 1255964441 |
|---|---|
| Former Name | JESSICA RENEE DAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 38535) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62843) |
| 225100000X Physical Therapist (Licence: OH 017128) | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2022-04-13 |