| NPI | 1881987600 |
|---|---|
| Former Name | JENNIFER CHRISTINE TULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8444) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03116) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |