NPI | 1770514036 |
---|---|
Former Name | BRITTANY M LYON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019770) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027524) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2024-08-08 |