| NPI | 1003163205 |
|---|---|
| Former Name | BRITTANY RENAE MCCORKHILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 6787) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9959) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2020-02-13 |