| NPI | 1740741156 |
|---|---|
| Former Name | JESSICA MCDOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63062) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1308325) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2022-05-03 |