NPI | 1366642555 |
---|---|
Former Name | JENNIFER MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT 35653) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT011208) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2011-12-08 |