NPI | 1396945200 |
---|---|
Former Name | SARAH CLAYTON SYDNOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 13911) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009138) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2018-12-21 |