| NPI | 1871583161 |
|---|---|
| Former Name | JENNY ELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 53381592401) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: UT 53381592401) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2022-04-05 |