NPI | 1184893638 |
---|---|
Former Name | JUNE DIANE BROOKS-ROBBINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00002525) |
Additional Taxonomies | 174400000X Specialist (Licence: AL PTH5200) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2015-04-07 |