| NPI | 1871010637 |
|---|---|
| Former Name | JESSICA DARLENE LESZINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10866) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3869) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-10-18 |