| NPI | 1770097958 |
|---|---|
| Former Name | JENNESA MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.026050) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 2354) |
| 225100000X Physical Therapist (Licence: AL PTH10420) | |
| 225100000X Physical Therapist (Licence: SC 9333) | |
| 225100000X Physical Therapist (Licence: KS 11-06870) | |
| 225100000X Physical Therapist (Licence: PA PT026454) | |
| 225100000X Physical Therapist (Licence: WI 14933-24) | |
| 225100000X Physical Therapist (Licence: CA 301084) | |
| 225100000X Physical Therapist (Licence: FL PT38040) | |
| 225100000X Physical Therapist (Licence: NY 048452) | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2022-03-15 |