NPI | 1114978756 |
---|---|
Former Name | DONNA DENISE BROWDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28203) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT005235) |
2251N0400X Physical Therapist, Neurology (Licence: GA PT005235) | |
2251P0200X Physical Therapist, Pediatrics (Licence: GA PT005235) | |
Enumeration Date | 2006-05-15 |
Last Update Date | 2014-07-30 |