NPI | 1790110567 |
---|---|
Other Name | JENNIFER A VAN DE PAVOORDT-FRANKLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 18231) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20260) |
Enumeration Date | 2013-09-11 |
Last Update Date | 2013-09-11 |