NPI | 1811393168 |
---|---|
Former Name | JENNIFER LINDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 022149) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01465000) |
Enumeration Date | 2014-11-14 |
Last Update Date | 2020-05-15 |