| NPI | 1740388297 |
|---|---|
| Former Name | JENNIFER L JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT41011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007873) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-08-31 |