| NPI | 1992049233 |
|---|---|
| Other Name | JENNIFER ANN BERTINO POLIDORI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1707) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 14042) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |