NPI | 1760067995 |
---|---|
Other Name | LIZ A BRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 02740) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IA 02740) |
Enumeration Date | 2021-03-09 |
Last Update Date | 2021-03-09 |