NPI | 1477948925 |
---|---|
Former Name | JILLIAN MARY KARP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12612) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0012479) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2025-01-28 |