| NPI | 1790777431 |
|---|---|
| Former Name | KRISTINE MARIE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1284) |
| 225100000X Physical Therapist (Licence: SD 0986) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2015-09-08 |