| NPI | 1578954368 |
|---|---|
| Former Name | AMY BRENDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2977) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 075594) |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2015-02-15 |