| NPI | 1730436056 |
|---|---|
| Other Name | JESSICA MARIE KELLEY BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD a3343) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: LA a3343) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |