| NPI | 1386891505 |
|---|---|
| Former Name | MARY K BREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60035309) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35167) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2016-01-07 |