| NPI | 1669727962 |
|---|---|
| Former Name | MEREDITH MARIE BRUNETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1220500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1220500) |
| 225100000X Physical Therapist (Licence: OR 06844) | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2015-05-15 |