| NPI | 1346706785 |
|---|---|
| Former Name | JACQUELINE ANNETTE PAMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: DE J2-0001195) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160007636) |
| 225200000X Physical Therapy Assistant (Licence: PA TE011492) | |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |