| NPI | 1366856726 |
|---|---|
| Other Name | JIMMY JO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035146) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 007800) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2025-12-13 |