| NPI | 1891159380 |
|---|---|
| Former Name | ALYSSA MARY BREAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: PA OS019624) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2021-10-28 |