NPI | 1639466121 |
---|---|
Former Name | JENNIFER HEMPHILL SPAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010308) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT32717) |
225100000X Physical Therapist (Licence: NC CP030716T) | |
225100000X Physical Therapist (Licence: AK PT210673) | |
Enumeration Date | 2011-07-05 |
Last Update Date | 2024-10-08 |