| NPI | 1538710074 |
|---|---|
| Former Name | SARAH FAIRWEATHER MYRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 11381222-2401) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2025-07-23 |