| NPI | 1770629156 |
|---|---|
| Former Name | JENNIFER KRACHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 17625) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT006528L) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-04-29 |