NPI | 1295134674 |
---|---|
Former Name | JILL MARIE JONDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT014973) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070023363) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2022-10-24 |