| NPI | 1124352497 |
|---|---|
| Former Name | SANDRA NALL MAHUSAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026829) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24859) |
| Enumeration Date | 2009-09-19 |
| Last Update Date | 2009-09-23 |