NPI | 1134856446 |
---|---|
Former Name | BRITTANY ELIZABETH BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 049347) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY P115864) |
Enumeration Date | 2022-08-05 |
Last Update Date | 2023-08-20 |