| NPI | 1043440837 |
|---|---|
| Former Name | KARA SULLIVAN SHAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2009034470) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03989) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2018-03-19 |