| NPI | 1457456600 |
|---|---|
| Former Name | JO HANEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 17439PT) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL PT17439) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2026-02-26 |