NPI | 1497986699 |
---|---|
Former Name | EMILY BROOKE BEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8344) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: MN 8344) |
Enumeration Date | 2009-08-05 |
Last Update Date | 2020-10-13 |