NPI | 1649487109 |
---|---|
Former Name | JODI PILARSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501008412) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 705030) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2018-10-04 |