NPI | 1659031821 |
---|---|
Former Name | BRITTANY MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215641) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 301502) |
Enumeration Date | 2021-12-29 |
Last Update Date | 2023-08-15 |