| NPI | 1679522940 |
|---|---|
| Former Name | RENEE L. BRANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: OR 04811) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1889) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2018-06-27 |