| NPI | 1689639718 |
|---|---|
| Former Name | JENNEIFER CHARRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01571000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT2755) |
| 2251S0007X Physical Therapist, Sports (Licence: AR PT2755) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AR PT2755) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2023-03-28 |