NPI | 1619256575 |
---|---|
Former Name | VERONICA L. BRADFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010552A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005949) |
Enumeration Date | 2011-08-10 |
Last Update Date | 2024-02-01 |