| NPI | 1528584174 |
|---|---|
| Former Name | KELSEY JURIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028488) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01749000) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2021-04-23 |