| NPI | 1306538467 |
|---|---|
| Former Name | JESSICA SMITS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0012329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031933) |
| 225100000X Physical Therapist (Licence: CA 305477) | |
| 225100000X Physical Therapist (Licence: NY 051836) | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2024-01-16 |