| NPI | 1720578610 |
|---|---|
| Former Name | JANE ANN CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: UT 10832726-2401) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: ID PT-5564) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2024-11-07 |