NPI | 1962767137 |
---|---|
Former Name | LAUREN D. BRINTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27452) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208388) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2018-10-31 |