| NPI | 1598797581 |
|---|---|
| Former Name | JENNIFER ANN LITTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 6076024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070012680) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-09-11 |