| NPI | 1700262813 |
|---|---|
| Former Name | JESSICA PLUMMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011858A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006670) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2016-06-16 |