NPI | 1083881734 |
---|---|
Former Name | BRADEIGH SMITHSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 6851437-1204) |
Enumeration Date | 2008-05-12 |
Last Update Date | 2008-05-12 |