NPI | 1164047288 |
---|---|
Former Name | BRIANNA MICHELE QUNIZI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213667) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT210002385) |
Enumeration Date | 2020-06-15 |
Last Update Date | 2024-01-26 |