NPI | 1750307799 |
---|---|
Former Name | JESSICA M KLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 006895) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0202341) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2008-05-13 |