NPI | 1699089706 |
---|---|
Former Name | CAITLIN ANN BRYSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 872662) |
225100000X Physical Therapist (Licence: VA 2305209183) | |
Enumeration Date | 2010-07-30 |
Last Update Date | 2024-08-05 |