| NPI | 1518072925 |
|---|---|
| Former Name | AMIE MARIE JUENEMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022461-1) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 022461-1) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |