NPI | 1487061727 |
---|---|
Former Name | SARAH FRYDRYCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225200000X Physical Therapy Assistant |
Enumeration Date | 2014-07-18 |
Last Update Date | 2016-03-08 |