NPI | 1033234034 |
---|---|
Former Name | BRITTANY DANIELLE SIONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 3201) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV PTA001281) |
252Y00000X Early Intervention Provider Agency (Licence: WV 3201) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2024-07-22 |