| NPI | 1366649998 |
|---|---|
| Former Name | BRANDY NEWTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009897) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5023) |
| 225100000X Physical Therapist (Licence: NC 11575) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2014-12-18 |