| NPI | 1275898421 |
|---|---|
| Former Name | JENNIFER M BREITHAUPT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 25802) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT022075) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-03-26 |