NPI | 1891045290 |
---|---|
Former Name | RACHEL BRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1249518) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60248958) |
Enumeration Date | 2012-09-12 |
Last Update Date | 2014-11-25 |