| NPI | 1417901562 |
|---|---|
| Former Name | MICHELLE LYN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6494) |
| 225100000X Physical Therapist (Licence: CO 9585) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2014-12-30 |