NPI | 1902671688 |
---|---|
Former Name | JESSICA MARIE HUGHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1334888) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0014735) |
Enumeration Date | 2023-11-22 |
Last Update Date | 2023-11-22 |