| NPI | 1225423825 |
|---|---|
| Former Name | BROOKE MIRANDA WOMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14582) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA CP015690T) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-12-08 |