| NPI | 1407320609 |
|---|---|
| Former Name | STEPHANIE NICOLE SARANDOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211999) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872276) |
| 225100000X Physical Therapist (Licence: MD 27340) | |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-11-05 |