| NPI | 1487270187 |
|---|---|
| Former Name | JESICA MARIE STEELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06476) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021039388) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2021-10-21 |