| NPI | 1467412809 |
|---|---|
| Former Name | JILL MICHELLE HENDERZAHS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015292A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9253) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2025-06-19 |