NPI | 1003197989 |
---|---|
Former Name | SARAH NADINE VIZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25181) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 25181) |
2251X0800X Physical Therapist, Orthopedic (Licence: MD 25181) | |
Enumeration Date | 2011-09-06 |
Last Update Date | 2022-10-18 |