NPI | 1790197754 |
---|---|
Former Name | BRITTANY SWANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210738) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14869) |
Enumeration Date | 2014-05-27 |
Last Update Date | 2024-01-28 |