| NPI | 1891046603 |
|---|---|
| Former Name | BRITTANY ANN BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT5176) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 08375) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2013-03-28 |