| NPI | 1326581661 |
|---|---|
| Former Name | JACQUELINE PATRICE GILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 6016) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06004354A) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |