NPI | 1952500548 |
---|---|
Former Name | CINDY BRAGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT5418) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 7566) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2018-09-14 |