NPI | 1114429362 |
---|---|
Professional Name | LATRINA BRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4875) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2018-03-04 |
Last Update Date | 2022-03-01 |