| NPI | 1992321590 |
|---|---|
| Former Name | JESSICA M EBERHARDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014616) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10268) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-05-23 |