NPI | 1699157420 |
---|---|
Former Name | BRITTANEY R KALMBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1288741) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1948) |
225100000X Physical Therapist (Licence: CO PTL.0013430) | |
Enumeration Date | 2015-06-29 |
Last Update Date | 2020-12-11 |