| NPI | 1548414691 |
|---|---|
| Former Name | SANDRA R SCHRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-01384) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO R0984) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2009-10-08 |