| NPI | 1659883569 |
|---|---|
| Former Name | JESSICA BOWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63508) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P17565) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2023-09-21 |