NPI | 1013468123 |
---|---|
Former Name | ANN ELIZABETH BRANDOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3621) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
Enumeration Date | 2016-10-24 |
Last Update Date | 2021-04-14 |