| NPI | 1447209630 |
|---|---|
| Former Name | BRANDI L KEBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2002030223) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03206) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2022-08-24 |