NPI | 1407139033 |
---|---|
Former Name | BRITTANY LYNN CALDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 31285) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38195) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2020-10-31 |