| NPI | 1952945024 |
|---|---|
| Former Name | JORDAN BECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60967216) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017003438) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |