| NPI | 1811158140 |
|---|---|
| Former Name | JENNIFER ELAINE HUSBAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011852) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.019080) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2015-09-14 |