| NPI | 1588736243 |
|---|---|
| Former Name | JENNIFER MARIE PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35751) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6879) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2010-03-29 |