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 |