| NPI | 1902884588 |
|---|---|
| Former Name | JAMIE BERGENFELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 16205) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2024-04-02 |