| NPI | 1316951676 |
|---|---|
| Former Name | JENNIFER ANN REIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0003814) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 2313) |
| 225100000X Physical Therapist (Licence: MA 16651) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2012-05-03 |