NPI | 1417077066 |
---|---|
Former Name | KIRSTEN LEIGH BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005963) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8462) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2007-07-08 |