NPI | 1750794483 |
---|---|
Former Name | JAMIE NICOLE SCHROTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023589) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT005010) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2024-04-08 |