| NPI | 1912795220 |
|---|---|
| Former Name | JENNIFER AVERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12794) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009463) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-07-17 |