| NPI | 1194918581 |
|---|---|
| Former Name | KARA SUSAN SEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1284528) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6307) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2019-10-29 |