NPI | 1033192752 |
---|---|
Former Name | SARAH MARGARET CLOSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 5454) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT 1214) |
Enumeration Date | 2005-11-28 |
Last Update Date | 2007-07-19 |