| NPI | 1386807667 |
|---|---|
| Former Name | JESSICA K. MEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2007028779) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04708) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2018-08-16 |