NPI | 1396127353 |
---|---|
Former Name | BRITTANY TERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008828) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV 002069) |
225200000X Physical Therapy Assistant (Licence: KY A03077) | |
Enumeration Date | 2015-06-25 |
Last Update Date | 2023-10-03 |