| NPI | 1336543024 |
|---|---|
| Former Name | JESSICA FITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY PTA03150) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA07179) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |