| NPI | 1669541025 |
|---|---|
| Former Name | JENNIFER MARIE MASTRANGELO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8580) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028601) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-08-02 |