| NPI | 1972809143 |
|---|---|
| Former Name | JESSICA PEARCE WHITELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15963) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 25888) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC 15963) | |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2016-03-18 |