NPI | 1316314461 |
---|---|
Former Name | SARAH MADELINE LAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1264870) |
Enumeration Date | 2015-08-25 |
Last Update Date | 2022-05-11 |