| NPI | 1801045737 |
|---|---|
| Former Name | JESSIE S WENZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011804) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24212) |
| 225100000X Physical Therapist (Licence: NY 031754) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2017-11-28 |