| NPI | 1437784295 |
|---|---|
| Former Name | JENNIFER MICHELLE DOYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2144359) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OK 1845) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |