| NPI | 1558724120 |
|---|---|
| Former Name | JESSICA HELEN CALDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306602400) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 8799) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |