NPI | 1477171833 |
---|---|
Former Name | SARAH ROSE SKARKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1334769) |
Enumeration Date | 2020-07-10 |
Last Update Date | 2021-07-28 |