| NPI | 1407248065 |
|---|---|
| Former Name | JESSICA LYNN SPRENGARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 009853) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004192) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |