| NPI | 1851908222 |
|---|---|
| Former Name | BRITTANY BUCKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |