NPI | 1285769877 |
---|---|
Former Name | JENNIFER N. BRAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070015036) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2008002911) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2010-09-20 |