NPI | 1730551938 |
---|---|
Former Name | JENNIFER E STRANGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014427) |
Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: CO PTL.0014427) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2023-04-28 |