NPI | 1629518428 |
---|---|
Former Name | JENNIFER L BILLINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31922) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 03797) |
Enumeration Date | 2017-02-28 |
Last Update Date | 2017-02-28 |