| NPI | 1245996891 |
|---|---|
| Former Name | SIERRA IAVARONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029815) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA PT029815) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-18 |