| NPI | 1861276768 |
|---|---|
| Former Name | JORDYN LEIGH GRABOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4558) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NE 4558) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-12-19 |