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: CA 305477) |
225100000X Physical Therapist (Licence: NY 051836) | |
225100000X Physical Therapist (Licence: PA PT031933) | |
225100000X Physical Therapist (Licence: IL 070028010) | |
Enumeration Date | 2023-05-25 |
Last Update Date | 2024-10-07 |