| NPI | 1275614364 |
|---|---|
| Former Name | SARAH ELAINE GOETTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM A-0558) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ND PTA-494) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |