| NPI | 1528291465 |
|---|---|
| Former Name | JENNIFER A POLLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 18706) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02958) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2020-07-14 |