| NPI | 1497931497 |
|---|---|
| Former Name | JENNIFER KOONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012098A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10970) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2016-07-14 |