NPI | 1295397396 |
---|---|
Former Name | SARAH BAYLEE FORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06235) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2019029576) |
Enumeration Date | 2019-06-28 |
Last Update Date | 2020-01-17 |