| NPI | 1669021390 |
|---|---|
| Former Name | JACQUELYN DAWN SOKOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A2396) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |