Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225700000X | Massage Therapist | ||
Y | 226300000X | Kinesiotherapist |
NPI | 1376867762 |
---|---|
Provider Name | Joseph Arlin Brittain |
First Address | New Ringgold, PA 17960 |
Second Address | New Ringgold, PA 17960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2010 |
Last Update Date | 15/03/2010 |