| NPI | 1891125837 |
|---|---|
| Former Name | JANICE MAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01533700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037351) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2024-07-24 |