NPI | 1407300684 |
---|---|
Former Name | SARAH ROSE MCGREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 11124) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC11124) |
Enumeration Date | 2016-08-05 |
Last Update Date | 2018-09-19 |