| NPI | 1497264493 |
|---|---|
| Former Name | JENA N MOELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017183) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070023381) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2020-10-13 |