NPI | 1235858903 |
---|---|
Former Name | RACHEL LOUISE SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 5205) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: AR 5205) |
2251X0800X Physical Therapist, Orthopedic (Licence: AR 5205) | |
Enumeration Date | 2022-08-25 |
Last Update Date | 2024-09-25 |