| NPI | 1518024355 |
|---|---|
| Former Name | JESSICA A BACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8096) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 024409) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2021-07-14 |