| NPI | 1306107693 |
|---|---|
| Former Name | NATALIE ELISE BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208496) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1213553) |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2022-08-22 |