| NPI | 1962824995 |
|---|---|
| Former Name | JENNIFER DYSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22372) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208824) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2024-03-04 |