| NPI | 1437623881 |
|---|---|
| Former Name | BRIANNA LAURA MULLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013853) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12670) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2022-06-12 |