| NPI | 1265504450 |
|---|---|
| Former Name | JENNIFER LYNN SKULY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: FL PT19862) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT19862) |
| 225100000X Physical Therapist (Licence: NC 9323) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2009-12-16 |