NPI | 1700334463 |
---|---|
Former Name | JESSICA PRINTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1363029) |
225100000X Physical Therapist (Licence: PA PT032180) | |
225100000X Physical Therapist (Licence: CA 302239) | |
225100000X Physical Therapist (Licence: VA 2305213851) | |
Enumeration Date | 2016-09-12 |
Last Update Date | 2024-10-25 |