| NPI | 1376042689 |
|---|---|
| Former Name | BRITTAINYE DANIELLE WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OK CP025117A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 2136210) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: TX 2136210) | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2024-08-15 |