| NPI | 1285164178 |
|---|---|
| Former Name | LAUREN SACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32617) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PTT32617) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2021-06-18 |