| NPI | 1740390624 |
|---|---|
| Former Name | JODI ROSE SCHILLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 11287-024) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 7459) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-07-16 |