| NPI | 1437539046 |
|---|---|
| Former Name | JORDAN NAOMI PRICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06055) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011902) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-01-22 |