NPI | 1326269143 |
---|---|
Former Name | SARAH DENEE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9967) |
Additional Taxonomies | 174400000X Specialist (Licence: TX 1136000) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2011-08-12 |