NPI | 1730141961 |
---|---|
Former Name | JENNIFER TYLER REIHM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 11557) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10002005) |
Enumeration Date | 2006-04-04 |
Last Update Date | 2012-01-18 |