NPI | 1346685476 |
---|---|
Former Name | JENNIFER BEGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 7995) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TN 7995) |
Enumeration Date | 2013-05-02 |
Last Update Date | 2020-12-08 |