| NPI | 1659564144 |
|---|---|
| Former Name | JAIMIE MARIE DAYOUB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016235) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT-018916) |
| 225100000X Physical Therapist (Licence: KY 005541) | |
| 225100000X Physical Therapist (Licence: IN 05010130A) | |
| 225100000X Physical Therapist (Licence: PA PT018916) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2014-02-12 |