| NPI | 1447919600 |
|---|---|
| Former Name | BRIANNA MICHAELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048140) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 048140-01) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2024-11-14 |