| NPI | 1881870111 |
|---|---|
| Former Name | JESSICA AMBER HOSTETLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 16454) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7949) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2024-12-10 |