NPI | 1265630222 |
---|---|
Former Name | SARAH GOODMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5508) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8862) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2023-11-08 |