| NPI | 1376525220 |
|---|---|
| Former Name | JODIE MAE PADGETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60119188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5033) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2010-08-25 |