| NPI | 1548224165 |
|---|---|
| Former Name | JENNIFER LYNN BORSETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005417) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5501005417) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2022-07-21 |