NPI | 1447316609 |
---|---|
Former Name | JENNY RICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019285) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009954) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2022-10-04 |