| NPI | 1114048378 |
|---|---|
| Former Name | KATIE MARIE SAUVAGEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1617) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7562) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-12-20 |