| NPI | 1326607185 |
|---|---|
| Former Name | BRANNIGAN ALESHA RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH6231) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26143) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: AL PTH6231) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: AL PTH6231) | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-08-14 |