| NPI | 1417402272 |
|---|---|
| Former Name | SARAH CVETA PAYICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11376) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P16306) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2019-06-12 |