NPI | 1568420248 |
---|---|
Other Name | JILL MARIE CRUISE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12216) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7995) |
225100000X Physical Therapist (Licence: IA 03660) | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2024-07-06 |