| NPI | 1417408592 |
|---|---|
| Former Name | JAMIE LYNN LOSENBECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28526) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT28526) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2017-11-21 |