NPI | 1821457185 |
---|---|
Former Name | JENNIFER LAMOREAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT015437) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 015437) |
Enumeration Date | 2016-02-15 |
Last Update Date | 2020-10-21 |