NPI | 1366099749 |
---|---|
Former Name | SARAH CASTRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31504) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296913) |
Enumeration Date | 2019-08-21 |
Last Update Date | 2023-02-02 |