| NPI | 1942956099 |
|---|---|
| Former Name | JESSICA REID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4292) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1305872) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2024-11-13 |