NPI | 1740247642 |
---|---|
Former Name | BROOKS SHEPHERD EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT2801) |
Additional Taxonomies | 174400000X Specialist (Licence: AR PT2801) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2024-09-09 |