| NPI | 1841519303 |
|---|---|
| Former Name | BRENDA ANN FLEMING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2018034945) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070005743) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2018-12-26 |