NPI | 1033374954 |
---|---|
Former Name | BRITTANY SUE CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1513) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MN 8173) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2013-05-03 |