| NPI | 1376096701 |
|---|---|
| Former Name | SALLIE MARCHANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17462) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0014263) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-07-17 |