NPI | 1497199749 |
---|---|
Former Name | ERIN ELIZABETH SARGENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.024733) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20425) |
Enumeration Date | 2013-04-17 |
Last Update Date | 2019-09-26 |