| NPI | 1528802063 |
|---|---|
| Former Name | JAYDEN MARIE GARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4622) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61571719) |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |