| NPI | 1679848667 |
|---|---|
| Former Name | JACLYN ANN REIFSCHNEIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18923) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207809) |
| 225100000X Physical Therapist (Licence: DC PT871313) | |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2019-08-06 |