NPI | 1841556685 |
---|---|
Former Name | BRITTANY BALDWIN BLAZEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 224Y00000X Clinical Exercise Physiologist |
225X00000X Occupational Therapist | |
Enumeration Date | 2012-04-05 |
Last Update Date | 2015-08-04 |