| NPI | 1508135427 |
|---|---|
| Former Name | BRIANNA M SCHLICHTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13758) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004934) |
| 225100000X Physical Therapist (Licence: NC P17875) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2021-08-31 |