| NPI | 1386949576 |
|---|---|
| Former Name | JACLYN BETH KASNICKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA09981800) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 273822) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2017-02-14 |