NPI | 1417967415 |
---|---|
Former Name | BRENDA MATTSON HARFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 222Z00000X Orthotist (Licence: MD C15212) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT0512) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2007-07-09 |