| NPI | 1134416274 |
|---|---|
| Former Name | SHARAYA LYNN YAEGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211036) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023498) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2022-07-21 |