| NPI | 1295701142 |
|---|---|
| Former Name | SARA LYNN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 6462) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6730) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2016-06-08 |