| NPI | 1023275484 |
|---|---|
| Former Name | SARAH WYNKOOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 001253) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.004601) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2011-09-21 |