| NPI | 1366843641 |
|---|---|
| Former Name | SARAH BYRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9645) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 11163PT) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2017-08-23 |