| NPI | 1831531375 |
|---|---|
| Former Name | JENNIFER MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022683) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE 0002866) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2018-02-01 |