| NPI | 1801296827 |
|---|---|
| Former Name | BRITTANI COOKINHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: TX 1251163) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 02715) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2023-09-11 |