| NPI | 1558801555 |
|---|---|
| Former Name | JENNIFER RUTH BRAGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012767) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2024-06-28 |