| NPI | 1316565658 |
|---|---|
| Former Name | BREANNA M NEDDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019753) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT PTP-PT-REG-0001140) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2025-09-11 |