NPI | 1154709012 |
---|---|
Former Name | KATELYN AMBER BRITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 08903) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1303278) |
Enumeration Date | 2015-05-12 |
Last Update Date | 2022-11-14 |