NPI | 1871226407 |
---|---|
Former Name | CHRISTINE JENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015338A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT019886) |
Enumeration Date | 2022-07-01 |
Last Update Date | 2025-05-16 |