| NPI | 1821507294 |
|---|---|
| Former Name | BROOKE ASHLEY HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH8761) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2019-08-19 |