NPI | 1699931378 |
---|---|
Former Name | JESSICA FRANCINE GRAF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-1374) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 8156) |
Enumeration Date | 2008-08-01 |
Last Update Date | 2021-02-11 |