| NPI | 1528131828 |
|---|---|
| Former Name | JENNIFER E GREENWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AK 2678) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 8411) |
| 225200000X Physical Therapy Assistant (Licence: WY PTA-558) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-03-18 |