| NPI | 1861518540 |
|---|---|
| Former Name | JAMIE PIGEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 3950) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NH 0819) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-02-28 |