| NPI | 1316903172 |
|---|---|
| Former Name | SARAH ELIZABETH MUTCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016806) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7522) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2021-08-26 |