| NPI | 1629364831 |
|---|---|
| Former Name | MARY ELIZABETH OBRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 31081) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8938) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2016-05-02 |