| NPI | 1831532092 |
|---|---|
| Former Name | JESSICA LYNN HAMILTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5263) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1105715) |
| 225100000X Physical Therapist (Licence: TN 9689) | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2023-02-10 |