| NPI | 1437528890 |
|---|---|
| Former Name | JANELLE LUPP-THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60571052) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11327) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2024-08-16 |