NPI | 1285450577 |
---|---|
Other Name | AMANDA MEGAN BRANDENBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 08698) |
Enumeration Date | 2024-12-02 |
Last Update Date | 2024-12-02 |