NPI | 1205074986 |
---|---|
Former Name | SARA GHASSEMIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18710) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009875) |
225100000X Physical Therapist (Licence: SC 5654) | |
Enumeration Date | 2009-02-03 |
Last Update Date | 2021-10-21 |