| NPI | 1932432275 |
|---|---|
| Former Name | JESSICA L JENNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 26356) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 031679-1) |
| 225100000X Physical Therapist (Licence: NC 12714) | |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2021-04-02 |