| NPI | 1982916581 |
|---|---|
| Former Name | STEPHANIE ELIZABETH JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04258) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2011026845) |
| 225100000X Physical Therapist (Licence: IL 070.017963) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2014-05-22 |