NPI | 1477988723 |
---|---|
Former Name | BREANNE M ZAREMBA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018276) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070020253) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2022-07-21 |