| NPI | 1316042294 |
|---|---|
| Former Name | CYNTHIA H BRUEGGENJOHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2098) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 00654) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-16 |