| NPI | 1275124828 |
|---|---|
| Former Name | JESSIKA VOLZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 11640380-2401) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: UT 11640380-4810) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2024-04-05 |