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 |