| NPI | 1366645798 |
|---|---|
| Former Name | JESSICA L DALLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6835) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 6835) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 6835) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-03-03 |