NPI | 1629243142 |
---|---|
Former Name | JENNIFER MARIE REECE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5701) |
Additional Taxonomies | 225100000X Physical Therapist |
225100000X Physical Therapist (Licence: CA 36506) | |
Enumeration Date | 2008-04-25 |
Last Update Date | 2024-05-29 |