NPI | 1710598149 |
---|---|
Former Name | BRITTANY POLLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014240A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018824) |
Enumeration Date | 2020-08-10 |
Last Update Date | 2022-10-13 |