NPI | 1184748048 |
---|---|
Former Name | SAMIAT BISOLA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24046) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: VA 2305204824) |
Enumeration Date | 2007-03-18 |
Last Update Date | 2017-04-04 |