| 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 |