| NPI | 1912976929 |
|---|---|
| Former Name | JENNIFER MARIE WHISLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070-012420) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-012420) |
| 2251S0007X Physical Therapist, Sports (Licence: IL 070-012420) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096-001603) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2015-07-08 |