| NPI | 1992189989 |
|---|---|
| Former Name | BRITTANY FREDERICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13182) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13182-024) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2019-02-13 |