NPI | 1518625946 |
---|---|
Former Name | SARAH KATHRYN BURNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017439) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TN 13913) |
Enumeration Date | 2021-12-02 |
Last Update Date | 2024-11-06 |