| NPI | 1194130591 |
|---|---|
| Former Name | SARAH LICKTEIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012083A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04850) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2016-06-23 |