NPI | 1124404512 |
---|---|
Former Name | SARAH ELIZABETH CASSADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4641) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012055) |
Enumeration Date | 2015-08-07 |
Last Update Date | 2024-08-06 |