NPI | 1437494721 |
---|---|
Former Name | JENNIFER L SHARPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT39553) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10088) |
Enumeration Date | 2012-11-28 |
Last Update Date | 2024-07-19 |