NPI | 1528316668 |
---|---|
Former Name | STACIE MARIE SAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: WI 11565-24) |
Enumeration Date | 2012-08-21 |
Last Update Date | 2024-02-29 |