NPI | 1891208690 |
---|---|
Former Name | BRITTANY CHRISTINE HAIDUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015989) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042531) |
Enumeration Date | 2017-11-15 |
Last Update Date | 2022-09-09 |