| NPI | 1326257833 |
|---|---|
| Former Name | JENNIFER MICHELLE FOURNIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KS 11-03891) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2008029857) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA 29432) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: OK 2647) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-12-19 |