NPI | 1205252749 |
---|---|
Former Name | AMBER D BRANDENBURGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60460450) |
Enumeration Date | 2014-03-07 |
Last Update Date | 2018-08-08 |