NPI | 1831425354 |
---|---|
Former Name | JESSICA L BUSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23075) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41325) |
Enumeration Date | 2009-10-19 |
Last Update Date | 2014-10-29 |