NPI | 1366546350 |
---|---|
Former Name | JESSICA L RUMAO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070016193) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012425) |
225100000X Physical Therapist (Licence: CA 33682) | |
Enumeration Date | 2006-09-11 |
Last Update Date | 2024-07-24 |