NPI | 1609181015 |
---|---|
Former Name | BRITTANY WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10118) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT-020819) |
Enumeration Date | 2010-08-10 |
Last Update Date | 2022-11-03 |