| NPI | 1770786170 |
|---|---|
| Former Name | JESSICA LEE ENGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502002333) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-09-26 |