| NPI | 1720366537 |
|---|---|
| Former Name | JENEAN LYNN EMPANGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61493903) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64180) |
| 225100000X Physical Therapist (Licence: MN 8799) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2023-10-27 |