NPI | 1386626232 |
---|---|
Former Name | JESSICA ANN WOEHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00008847) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7045) |
225100000X Physical Therapist (Licence: OR 4552) | |
Enumeration Date | 2005-11-16 |
Last Update Date | 2008-08-04 |