| NPI | 1962809624 |
|---|---|
| Former Name | JENNIFER MARIE SEID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018577) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096.003699) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2025-02-27 |