NPI | 1659945939 |
---|---|
Other Name | JESSICA PAIGE SWAGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2021009225) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KS 14-03687) |
Enumeration Date | 2021-05-19 |
Last Update Date | 2021-05-19 |