NPI | 1598908535 |
---|---|
Former Name | JESSICA LAUREN HOUNTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP034896T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 12090) |
Enumeration Date | 2009-04-07 |
Last Update Date | 2024-11-27 |