| NPI | 1720392236 |
|---|---|
| Other Name | JENNIFER ERVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 12109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4320) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2024-03-27 |