| NPI | 1275965626 |
|---|---|
| Former Name | JESSICA MICHELE ISACSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32493) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH 6911) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2017-05-09 |