NPI | 1205189644 |
---|---|
Former Name | SARAH PAIGE NORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30811) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6012) |
225100000X Physical Therapist (Licence: TX 1222998) | |
Enumeration Date | 2012-10-23 |
Last Update Date | 2020-03-18 |