NPI | 1477055259 |
---|---|
Former Name | LAURA BETH BRATTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: TN 8616) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 8616) |
Enumeration Date | 2018-03-07 |
Last Update Date | 2018-03-07 |