| NPI | 1891337986 |
|---|---|
| Former Name | EMMA JACOBSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA DAPT005584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019251) |
| 225100000X Physical Therapist (Licence: PA PT029983) | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2023-10-04 |