NPI | 1588074454 |
---|---|
Former Name | JENNIFER LYN STEFFEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9988) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 871356) |
225100000X Physical Therapist (Licence: AK 2749) | |
225100000X Physical Therapist (Licence: WI 12623-24) | |
Enumeration Date | 2014-05-01 |
Last Update Date | 2019-12-20 |