NPI | 1669527024 |
---|---|
Former Name | JAMIE R HARTZELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7320) |
Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
2251S0007X Physical Therapist Sports | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2014-04-11 |