| NPI | 1699289447 |
|---|---|
| Former Name | NICOLE M JANKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018944) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8882) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2020-09-30 |