| NPI | 1932247111 |
|---|---|
| Former Name | BRENDA LARRIMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305003472) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 19557) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-04-03 |