| NPI | 1295712107 |
|---|---|
| Former Name | JENNIFER L KINGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 3023) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2007-07-08 |