| NPI | 1720124357 |
|---|---|
| Former Name | JENNIFER LEE BERTAGNI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00010288) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7452) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-11-14 |