| NPI | 1558781872 |
|---|---|
| Former Name | ALISON MARIE BROUILLETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60878849) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20613) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2021-03-30 |