| NPI | 1992734719 |
|---|---|
| Former Name | JENNIFER LYNN HIBL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2559) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT27806) |
| 225100000X Physical Therapist (Licence: CA 27806) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2015-09-10 |