| NPI | 1497949606 |
|---|---|
| Former Name | JENNIFER LYNN DYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 8489) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 2685) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |