| NPI | 1275176638 |
|---|---|
| Former Name | JESSICA ARYN WEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014146A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018348) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2024-03-13 |