NPI | 1467842724 |
---|---|
Former Name | SARAH WEISBRUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26457) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10315) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2020-03-06 |