| NPI | 1740905413 |
|---|---|
| Former Name | JOURNEY J GONTJES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16091-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 12805) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-20 |