NPI | 1811443120 |
---|---|
Former Name | BRITTANY NICOLE JESSEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 11366R) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2016-08-27 |
Last Update Date | 2023-07-31 |