NPI | 1750519963 |
---|---|
Former Name | JENNY RAMBUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1735) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 2237) |
Enumeration Date | 2009-06-25 |
Last Update Date | 2021-02-16 |