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 |