NPI | 1053878835 |
---|---|
Former Name | BRITTNEY NICHOLE SWANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61007893) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 4605) |
Enumeration Date | 2019-02-27 |
Last Update Date | 2022-05-05 |