NPI | 1457863714 |
---|---|
Former Name | BRIANNA ELIZABETH VERSTEEG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62496) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5318) |
225100000X Physical Therapist (Licence: AK 127300) | |
Enumeration Date | 2017-10-26 |
Last Update Date | 2023-08-23 |