Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant |
NPI | 1003873613 |
---|---|
Provider Name | Ms. Jennifer Lynn Eyrich |
First Address | Denver, CO 80202-1757 |
Second Address | Denver, CO 80202-1757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 02/06/2014 |