| NPI | 1275581613 |
|---|---|
| Former Name | JENNIFER GLESSNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305204057) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT016733) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |