| NPI | 1912107996 |
|---|---|
| Former Name | BRYNN ELY LADD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 3090) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6652) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2023-06-21 |