| NPI | 1104224591 |
|---|---|
| Former Name | JOLIE BREHM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41917) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10914) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2016-11-21 |