| 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 |