NPI | 1235623885 |
---|---|
Former Name | BRITTANY OPPLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2018021353) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1105934) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2020-04-29 |