NPI | 1043402316 |
---|---|
Former Name | SARA L CARPENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-1719) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25891) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2022-10-11 |