| NPI | 1073248381 |
|---|---|
| Former Name | SARA HIPSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 115850) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070026485) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2024-09-12 |