| NPI | 1316470685 |
|---|---|
| Former Name | BRIANNA PHIPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 18270) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-05455) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2022-06-16 |