| NPI | 1265668446 |
|---|---|
| Former Name | JENNIFER ELIZABETH STOECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296647) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60044173) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2022-10-14 |