| NPI | 1962815233 |
|---|---|
| Former Name | JENNIFER MIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14634) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0012454) |
| 225100000X Physical Therapist (Licence: TX 1240660) | |
| 225100000X Physical Therapist (Licence: NY 035573) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2020-10-28 |