| NPI | 1336309913 |
|---|---|
| Former Name | JENNIFER NICOLE FLETCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33646) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TN 9157) | |
| 225X00000X Occupational Therapist (Licence: CA 9194) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2023-11-30 |