| NPI | 1841731734 |
|---|---|
| Former Name | JANNA FJELSTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15323-24) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2022-10-12 |