| NPI | 1053831784 |
|---|---|
| Former Name | SARAH C JOHANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 11115853-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3710) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-12-07 |