| NPI | 1760862379 |
|---|---|
| Former Name | BRITNEY WANDLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11785) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13028-24) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2021-05-27 |