| NPI | 1710615836 |
|---|---|
| Former Name | JENNIFER R SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL 11683R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT39016) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2023-11-28 |