NPI | 1376187914 |
---|---|
Former Name | BRITTANY ERIN WARE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18715) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT25499) |
Enumeration Date | 2019-11-06 |
Last Update Date | 2019-11-06 |