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 |