NPI | 1124313705 |
---|---|
Former Name | MEGAN SARASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 005816) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010501A) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2017-01-13 |