Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 11-05471 | KS |
Y | 225100000X | Physical Therapist | 11-05471 | KS |
NPI | 1053837591 |
---|---|
Provider Name | Brianne Michelle Hobson |
First Address | Wichita, KS 67211-1654 |
Second Address | Wichita, KS 67211-1654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2017 |
Last Update Date | 19/05/2020 |