| NPI | 1417967415 |
|---|---|
| Former Name | BRENDA MATTSON HARFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X (Licence: MD C15212) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT0512) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-09-11 |