NPI | 1811098387 |
---|---|
Former Name | JENNIFER A MESSMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070013922) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013120A) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2021-06-29 |