| NPI | 1740786375 |
|---|---|
| Former Name | JENNIFER JEANINE KOPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212268) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005297) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-12-19 |