NPI | 1477801116 |
---|---|
Former Name | SARAH K STOVALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011117A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010760) |
Enumeration Date | 2012-08-28 |
Last Update Date | 2015-04-16 |