| NPI | 1598908535 |
|---|---|
| Former Name | JESSICA LAUREN HOUNTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27196) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207355) |
| 225100000X Physical Therapist (Licence: CA 35238) | |
| 225100000X Physical Therapist (Licence: NC 12090) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2021-09-09 |