| NPI | 1902251325 |
|---|---|
| Former Name | JENNIFER CRIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 10313) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 11325) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2022-06-29 |