| NPI | 1841408101 |
|---|---|
| Former Name | JEANNE MARGARET O'NEIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-005473) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 4949) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2007-07-08 |