NPI | 1477024396 |
---|---|
Former Name | BRITTANY ECKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11251) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 14549) |
Enumeration Date | 2018-12-17 |
Last Update Date | 2020-09-30 |