| NPI | 1770031791 |
|---|---|
| Former Name | BRITTNEY L SUBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8517) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT025347) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2023-09-26 |