NPI | 1497255939 |
---|---|
Former Name | JENNIFER ANN HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
Enumeration Date | 2018-02-20 |
Last Update Date | 2020-11-16 |