NPI | 1609256882 |
---|---|
Former Name | BRITTANY POWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8500) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25486) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2024-10-08 |