| NPI | 1184057218 |
|---|---|
| Former Name | SARAH JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02803) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20677) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2021-11-29 |