NPI | 1174049092 |
---|---|
Former Name | BRITTANY TRONNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2170) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10742) |
Enumeration Date | 2017-08-22 |
Last Update Date | 2021-11-01 |