| NPI | 1558710558 |
|---|---|
| Former Name | JENNA FITZSIMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02937) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22929) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-02-29 |