NPI | 1366535551 |
---|---|
Former Name | JENNIFER A PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT15389) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT15389) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2018-08-15 |