NPI | 1093367708 |
---|---|
Former Name | BRIANA M STEPHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0016316) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10702) |
Enumeration Date | 2019-07-12 |
Last Update Date | 2022-10-28 |