| NPI | 1881900991 |
|---|---|
| Former Name | TIANA MARIE JUNGELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070018338) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010377A) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2018-03-17 |