| NPI | 1891003844 |
|---|---|
| Former Name | JENNA LYNE ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 012838) |
| Additional Taxonomies | 171W00000X Contractor (Licence: OH PT. 012838) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2019-08-28 |