NPI | 1700900206 |
---|---|
Former Name | LOVINA TRAMEL BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1067247) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 17940) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2023-01-09 |