NPI | 1528589108 |
---|---|
Former Name | JESSICA STUEVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: OH PT016885) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT016885) |
Enumeration Date | 2017-07-04 |
Last Update Date | 2025-04-10 |