| NPI | 1548247240 |
|---|---|
| Other Name | JENNIFER CALVIN CALVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 1779) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT - 2032) |
| 225100000X Physical Therapist (Licence: MO 01608) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2018-10-12 |