NPI | 1548865934 |
---|---|
Former Name | EMILY NICOLE BRITTINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10801) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 166303) |
Enumeration Date | 2020-12-02 |
Last Update Date | 2021-08-04 |