| NPI | 1750567715 |
|---|---|
| Former Name | JENNIFER MARISA VESPA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5813) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11379) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2011-03-01 |