NPI | 1457860207 |
---|---|
Former Name | MICHELLE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23310) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT03006) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2019-10-22 |