| NPI | 1376669853 |
|---|---|
| Former Name | JORDAN MICHELLE RITTER-SORONEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205806) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21723) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-02-10 |