| NPI | 1487635264 |
|---|---|
| Former Name | SARAH LYNN COSGROVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2574) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 21839) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-07-08 |