NPI | 1518293091 |
---|---|
Former Name | SARAH ANN COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 3874) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IA 3874) |
Enumeration Date | 2009-10-19 |
Last Update Date | 2017-04-13 |