NPI | 1306375076 |
---|---|
Former Name | JENNIFER NORWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60737498) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60737498) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2022-02-28 |