| NPI | 1790825404 |
|---|---|
| Other Name | JENNIFER NICOLE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 117715) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-02694) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |