NPI | 1427498716 |
---|---|
Former Name | JESSICA E HOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24536) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MD 24536) |
Enumeration Date | 2013-07-01 |
Last Update Date | 2024-04-18 |