| NPI | 1760619068 |
|---|---|
| Former Name | JENNIFER MARIE BENOIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 08855R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24713) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2015-11-30 |