NPI | 1366503484 |
---|---|
Former Name | TONYA RENEE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 6659) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41482) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2021-11-29 |