NPI | 1225547904 |
---|---|
Former Name | BRIANNE CHRISTINE HATHERILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 30615) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293769) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2023-09-06 |