NPI | 1962545723 |
---|---|
Former Name | JENNYFER L MASTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT-11524) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA-18807) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2015-08-27 |