| NPI | 1821629601 |
|---|---|
| Former Name | BRIGID GILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0436171) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013702) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2024-03-11 |