| NPI | 1952831166 |
|---|---|
| Former Name | KARA HEATH JESSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2017027518) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017017380) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-04-19 |