NPI | 1891050084 |
---|---|
Former Name | BRITTANY ANN BRENNY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 12696) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 06879) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2017-10-17 |