| NPI | 1982893855 |
|---|---|
| Former Name | JESSICA LYNN WORRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT002657) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT016087) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2022-11-05 |