| NPI | 1336994680 |
|---|---|
| Former Name | BROOKE ANN HALDEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1250045) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1250045) |
| Enumeration Date | 2024-04-20 |
| Last Update Date | 2024-05-10 |